the institute of medicine published a report, laid out step by step by step over 300 or 400 pages how to build a quality infrastructure in this country for substance use disorders and mental health. it has not been acted upon. it's been sitting there on the shelf for 11 years. >> so we have studied this. we do know how to address -- >> absolutely. that is the good and the bad news. the good news is that there's simple, methodical ways to substantially reduce this. the tragic part, it's not being done. >> i just want to check with my control room because i know we are waiting to go to the president. natalie -- they'll tell me they're doing it. natalie, i want to ask you. there's something i hear from people when we have this conversation on tv. because we really try to cover this well on msnbc. from people who are on pain medication, who really need it, and they say you're going to change the world for us in that there are some people who require pain medication and they're all getting swept up in this whole idea that we need to reverse the issuance of prescriptions to people with pain. there was a shift in how doctors thought about pain several years ago which did contribute to